Revision Rhinoplasty: Before and After
This is a young Middle Eastern woman who had previous rhinoplasty. She then suffered a fall from a scooter while on vacation in Mexico. Dr. Zoumalan provided months of wound and incision care before he performed functional and comsetic nasal surgery. You can see that even after the incisions healed, the nose was crooked and the tip was asymmetric. Because of the combination of trauma and previous surgery, she had little cartilage to reconstruct the nose, so complex cartilage grafting techniques were used (rib, costal). he entire lower third of her nose had to be re-built because existing cartilage was destroyed. she had to have dermabrasion for the incision later on as well, which improved the appearance of her scars greatly. She is doing well and breathing well now.
This patient underwent revision rhinoplasty using a closed (endonasal) approach with no external incisions. He had a previous rhinoplasty which removed too much bone and left the septum too high. Dr. Zoumalan used cartilage to place a large dorsal augmentation graft on the bony area as well as to remove the extra septum. The patient also had severe breathing problems after the first surgery, and Dr. Zoumalan performed a septoplasty and turbinate reduction to help with this as well. This is the patient at 1 year.
This young lady had revision rhinoplasty to improve the overall appearance of her nose as well as give her better breathing. You can see how much straighter her nose is after surgery. You can also see improvements of the shape from all angles. Her breathing and sinus issues improved as well.
This young woman had two previous rhinoplasties by other surgeons. The second operation by another surgeon involved the use of rib graft. Dr. Zoumalan performed revision rhinoplasty without the use of rib graft. He was able to find cartilage in her spetum to help restructure her nose. Before surgery, she had a pollybeak deformity, which means that her septum is higher than her nasal bones, which appears unnatural. After surgery, her profile is greatly improved, as are her other views.
This woman had a ridge of nasal bone that was left after rhinoplasty. She also wanted her tip lifted. Dr. Zoumalan performed a revision rhinoplasty to shave down this ledge of bone and rotate her tip upwards.
Although this patient had previous rhinoplasty, she still had a crooked nose, and she wasn't happy with the shape. Dr. Zoumalan corrected both of these issues and was able to get her nose straighter and narrow the tip, which were her goals.